林季文主任治疗岭南小儿外感发热经验总结  

The Clinical Experience of Director LIN Jiwen in Treating Pediatric Exogenous Fever Disease in Lingnan

作　　者：程怡[1] 林晓红[2] 廖若莎(指导)[2] CHENG Yi;LIN Xiaohong;LIAO Ruosha(Guangzhou University of Chinese Medicine,Guangzho(510405),China;WEN Ziyuan Pediatric Academic School Inheritance Studio,Guangdong Provincial Hospital of Traditional Chinese Medicine)

机构地区：[1]广州中医药大学,广州510405 [2]广东省中医院文子源儿科学术流派传承工作室

出　　处：《浙江中医药大学学报》2021年第5期504-506,共3页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]总结林季文主任治疗岭南小儿外感发热的经验。[方法]通过跟师学习,整理病案,总结林季文主任治疗岭南小儿外感发热的辨证治疗特点及遣方用药特色,并附以临床案例加以验证。[结果]林季文主任认为岭南小儿外感发热,多为风、湿、热邪袭表诱发,且多夹湿、滞。治疗上注重辨别外感邪气,多以疏风散邪祛湿为法,较少用寒凉药物,强调时时顾护脾胃,治疗上化裁桑菊饮等温病经典方剂,自拟疏风解表汤,在岭南医家文子源清透汤基础上创发热清透汤,用药轻灵,善于运护脾胃。验案中患儿以发热伴鼻塞流涕、咳嗽有痰起病,辨证为外感风热,治以疏风宣肺、清透邪热为法,方拟发热清透汤加减。二诊患儿发热咳嗽症状缓解,家属要求调理,辨证为肺脾气虚,治以健脾益气为法,并加强调护,取得较好疗效。[结论]林季文主任治疗岭南小儿外感发热,辨证参照岭南地域湿热的环境特点,治疗上时时关注小儿脾胃,谴方用药具有岭南及个人特色,值得学习效法。[Objective]To summarize the of Director LIN Jiwen in the treatment of children with exogenous fever in Lingnan. [Methods] Through learning from teachers, sorting out medical records, Director LIN’s understandings of syndrome differentiation in treating pediatric exogenous fever diseases in Lingnan and the concept of strengthening the spleen and protecting the spleen were analyzed. Meanwhile, one clinical case was presented to verify.[Results] Director LIN Jiwen believes that wind, dampness, heat may be triggers for the pediatric exogenous fever diseases in Lingnan, and always complicated with dampness and dyspepsia. In the treatment,attention is paid to the identification of exogenous pathogens, and the method of dispelling wind, dispersing pathogenic factors and eliminating dampness are mostly used, while the cold and cool drugs are seldom used, and the spleen and stomach are always taken care of.Director LIN transforms the Sangju drink and other classic prescriptions for febrile diseases, develops Shufeng Jiebiao decoction and Fare Qingtou decoction on the basis of Qingtou decoction of Lingnan doctor WEN Ziyuan. It was light in medication and good at protecting the spleen and stomach. In the case, the child was diagnosed as fever with nasal congestion and runny nose, cough and phlegm, and the syndrome differentiation was exogenous wind heat, and modified Fare Qingtou decoction was adopted to disperse wind and promote the lung function, clear away heat and penetrate pathogenic factors. The symptoms of fever and cough were relieved in the second visit, and the family asked for conditioning, syndrome differentiation was Qi deficiency of the lung and spleen. After treated with invigorating the spleen and replenishing Qi, and strengthened nursing, good curative effects were achieved. [Conclusion]Director LIN Jiwen always pays attention to the spleen and stomach of children in the treatment of pediatric exogenous fever diseases in Lingnan, according to the environmental characteristics of damp heat in Lingnan area,

关 键 词：外感发热 岭南 温病 小儿疾病 顾护脾胃 医案 林季文 名医经验 

分 类 号：R720[医药卫生—儿科]